Gebreyesus T Hidad, APRN

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

License

209029644 Issued in IL

Practice address

436 E End Ave
Hillside, IL 60162-1253

Phone

(708) 769-6084

NPI assigned

Apr 29, 2024

Sex

Male

Sole proprietor

Yes

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Edgewood Clinical Services, P.C.

  • Psychologist
  • Naperville, IL
  • NPI 1295914646

  IL, Psychiatric/Mental Health

  Medicare reassignment Care Compare group NPD
• HNHC, PLLC

  • Community/Behavioral Health Agency
  • Oakbrook Terrace, IL
  • NPI 1346911609

  IL

  Medicare reassignment NPD
• Psychology Specialists LTD

  • Clinical Psychologist
  • Bloomington, IL
  • NPI 1053368605
  NPD (past)

Specialty

Nurse Practitioner

Education

Other, 2023

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Edgewood Clinical Services P.C. 304 clinicians

Practice addresses (Care Compare)

Medicare fee-for-service enrollment

Enrolled in IL

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: lifestancehealth.gebreyesushidad@146897.advancedmd-direct.com

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on May 21, 2025.

{
    "created_epoch": "1714348800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1747785600000",
    "number": "1831945997",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "436 E END AVE",
            "city": "HILLSIDE",
            "state": "IL",
            "postal_code": "601621253",
            "telephone_number": "708-769-6084"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "436 E END AVE",
            "city": "HILLSIDE",
            "state": "IL",
            "postal_code": "601621253",
            "telephone_number": "708-769-6084"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HIDAD",
        "first_name": "GEBREYESUS",
        "middle_name": "T",
        "name_prefix": "Mr.",
        "credential": "APRN",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2024-04-29",
        "last_updated": "2025-05-21",
        "certification_date": "2025-05-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "IL",
            "license": "209029644",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Georgia Home Service LLC
• Iliana Ivanova Georgieva, MPT
• Nadia Handspike, FNP-BC
• Shaneria Harris, PHARM.D.
• Health Options of Il, Inc
• Highland Park CVS LLC
• Shatavia Hill, LMT
• Hillside School Dist 93
• Hinsdale Physicians Healthcare Association, Inc.
• Holy Cross Health Partners

• All providers in Hillside, IL
• Psychiatric/Mental Health Nurse Practitioner in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 21, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.